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Organization
DMUKE BEHAVIORAL HEALTH CENTER
Active
Organization
DMUKE BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LAURENT MUGOMOKE REGISTERED NURSE (DIRECTOR)
(469) 910-4181
Entity
Organization
Contact information
Practice address
19371 W ELM ST, LITCHFIELD PARK, AZ 85340-4656
(469) 910-4181
Mailing address
19371 W ELM ST, LITCHFIELD PARK, AZ 85340-4656
(469) 910-4181
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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